ADHD Assessment in the UK
An ADHD assessment is usually an extremely thorough process. A psychiatrist will determine whether your symptoms cause significant impairment, and rule out other conditions such as thyroid or depression. They can also request old school records and other supporting evidence.
It is vital that the person who is assessing you is an ADHD expert. This is the case for GP's as well as consultant psychiatrists alike.
Waiting several times
In the UK adults who require an ADHD diagnosis are waiting for years to get an appointment with a psychiatrist. This is despite the fact that the condition is recognized as a serious mental health issue and that it has significant effects on people's lives. In certain areas, waiting time can be as long as four years. The charity ADHD UK has called for urgent actions to improve the situation.
The problem is being worsened by the growing awareness of the condition and an increase in the demand for treatment. NHS services are struggling to keep up with the demand, and a lot of patients are opting to seek treatment from private clinics. This is made easier by the recent introduction of the Right to Choose scheme, which allows patients to choose for private healthcare from any provider.
One of these services is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS in various parts of the country. It has seen a surge in the number of adults seeking an assessment, and is currently exceeding its capacity. Private psychiatrists are more experienced in dealing with adults and are better equipped to comprehend the nuances of ADHD. They are also more likely to be experienced in managing co-morbidities, such as depression and anxiety which are often present with ADHD.
However, many people are still concerned about the assessment of private patients and the risk of them over-diagnosing the condition. BBC Panorama exposed how some private clinics have made diagnoses without following the correct procedure. Some have claimed that the program is promoting stigma and stereotypes against those who suffer from ADHD.
However the BBC deserves praise for exposing the issue and highlighting the plight of adults who need an ADHD diagnosis. It's unfortunate that some have to seek help privately. The NHS should find a way to remedy this situation. If you think you might be suffering from ADHD Try a no-cost screening through a charity or pay a private psychiatrist to evaluate you. They are usually less expensive than the NHS however they will not give the prescription for medication.
Second opinion
If you're struggling with symptoms of ADHD It is essential to receive a diagnosis. A correct diagnosis will enable you to take steps to manage your symptoms, including medication. You may be directed to a psychiatrist for additional therapy. There are many private clinics offering diagnosis and titration treatments. These clinics have a lot of experience dealing with a diverse range adults, including women and men, who might suffer from ADHD. They can also look for co-morbidities, such as depression and anxiety.
Private ADHD assessments can be costly, but they are usually more efficient than NHS waiting times. Typically, you will pay for the initial assessment and then be able to schedule subsequent appointments as required. These appointments are covered by your insurance if you have it. These appointments will be performed in a professional manner by nurses who are trained and have a specific interest in ADHD. Initial appointments usually involve clinical interviews and rating systems. You will also be asked to complete questionnaires, and you could be referred to further tests like an MRI or EEG.
A private clinic will cost you between PS500 to PS1,200 for an ADHD assessment. The cost covers the assessment time and titration costs. Certain private ADHD assessments offer titration separately from diagnosis, and it can be less expensive. However private adhd assessment uk cost of titration is longer and requires more appointments.
The quality of private ADHD assessments has been questioned after the BBC's Panorama investigation revealed that one patient sat for three years waiting for an NHS assessment before deciding to go to a private clinic to try and find. The BBC investigation highlighted a number of cases in which patients were given a diagnosis of ADHD that was later withdrawn. This is a serious issue because it can be extremely stressful for patients to have their symptoms wrongly diagnosed and prescribed medications with adverse side effects.
In Scotland the cost of an ADHD assessment is PS1,335 and includes the initial assessment and the titration. The majority of health insurance policies cover these tests. However, it is worth checking to see whether you are covered.
Referral to specialist clinics
If your GP recommends a specialist clinic the clinician will ask questions and perform a clinical evaluation. They will determine if your symptoms are indicative of ADHD, and if they match the diagnostic criteria. They will also assess for any co-morbidities (other mental health conditions) that might be present. Most of the time, these are anxiety and depression. The doctor will then discuss possible treatment options with you including medication if needed.
During the assessment during the assessment, you will be asked questions about your family background as well as your current issues at home and work. They will also ask about any medications you're taking. They will then conduct a structured interview. You should bring a trusted family member or friend along to provide collateral information. It usually takes a few visits for the evaluation to determine an accurate diagnosis. Some clinics offer a comprehensive assessment, while others only test for specific symptoms.
Panorama's investigation into the inadequate treatment of ADHD in the NHS has brought it to light. The undercover reporter of the show was diagnosed with ADHD at three private clinics - while his doctor insisted that he did not have the condition. The BBC claimed that the story was an example of "over-diagnosing" by private firms, however GPs are only able to refer patients for further investigations or prescribe medication under strict guidelines.
Many GPs are unwilling to sign a contract for shared healthcare with the NHS. This is the only way they can transfer the patient's care to the NHS after a private diagnosis. They feel that they are not experts on ADHD or psychiatry. A lot of private psychiatrists do not prescribe medication for their patients, which could make it difficult for patients to receive the treatment they require.
If your GP hasn't recommended you for an ADHD assessment and treatment, ask for it. You can determine the estimated wait time by calling the local mental health services or by using the Right To Choose site. The site allows you to choose an online ADHD assessment service, which will be offered by the NHS.
Confirmation of diagnosis
Having an ADHD diagnosis can have a profound impact on your life. It aids people in understanding their own behavior and that of their family and friends. It also helps them identify the right treatment plan. It is not always simple to obtain an assessment. Especially in the UK where people have to wait for a long time for an assessment from the NHS. website can be frustrating for those who wish to be diagnosed with ADHD.
If you're not able to wait, it is possible to self-refer for a private assessment by a qualified specialist psychiatrist. You'll save time and avoid a trip to your GP. It is a long process that can take a few months. However it will provide you with a more accurate diagnoses than those provided by the NHS. You must make sure that the person who is conducting the assessment is psychiatrist or psychologist, as they are the only healthcare professionals in the UK that are qualified to determine ADHD.
A private assessment could include an interview with a psychiatrist. There will be questions regarding your mental health, your childhood history and other factors. The doctor will employ rating scales to inquire about your current challenges at work, at school or in relationships. They will also talk about any other symptoms you have which could be indicative of ADHD.
The result will be an extensive ADHD assessment report, which the psychiatrist will send to your GP with your permission. If necessary, they'll also prescribe medication. They can also assist you to get other types of assistance, like mentoring and study skills support. If you are an undergraduate student, they can assist you with applying for Disabled Students Allowance.
It's not ideal to cut corners however the NHS is overburdened and underfunded. This means that there are people who try to cut the line by using online assessments or private clinics that provide quick appointments with little or no expertise in clinical practice. These shortcuts should be avoided. However, those suffering from ADHD should be seeking a diagnosis even when they can afford it.